Employment Application - Calhoun County Substitute
Dixie Regional Library System - 111 North Main Street - Pontotoc, Mississippi 38863 www.dixie.lib.ms.us Branches: Bruce - Calhoun City - Houlka - Houston - Okolona - Pontotoc - Sherman - Vardaman
The Dixie Regional Library System is an Equal Employment Opportunity Employer and does not discriminate due to race, color, religion, age, sex, or national origin.
JOB DESCRIPTION available at https://dixie.lib.ms.us/employment/ LOCATION: Calhoun County HOURS: As needed
Name
*
First Name
Last Name
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Best time to contact you is:
*
Position(s), Type of work applied for
*
How did you find out about this opening?
*
Would you be available for occasional Saturday hours?
Yes
No
Would you be available for occasional weekday hours?
Yes
No
Have you ever been employed with Dixie Regional Library System?
*
Yes
No
If yes, give date:
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Have you previously worked for the state of Mississippi, local government, or a public school system?
*
Yes
No
If so, are you retired with PERS?
*
Yes
No
Not applicable
Are you currently employed?
*
Yes
No
Name/Relationship of Friends/Relatives employed here
*
Date available for work
*
Can you travel if the job requires it? (Within the Dixie Regional System)
*
Yes
No
Driver's License
*
In case of accident or emergency, pleast notify:
*
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Employment History
Please provide last 3 employers
Start with most recent. Select "Click to remove" on right hand side to remove an entry.
Professional References - 3 are required (Do not include family or friends) Select "Click to remove" on right hand side to remove an entry.
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Education
If not applicable, put "n/a".
High School / GED
Undergraduate College or University
Graduate/Professional
Other
Do you have any specialized certifications?
Professional Memberships
List all current professional organization memberships below:
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Qualifications
Answer the questions below. Questions with an "MQ" are Minimum Qualifications for this job. Every question with an "MQ" must be answered "YES". If you cannot answer "YES" to every question with an "MQ", you do not qualify for this position. The remaining questions are desirable, but not required, qualifications. It should be noted that those applicants answering "YES" may be considered better qualified for the job. If you answer "YES" to any questions followed by blanks, please give examples of your experience.
MQ Have you had experience using a computer?
*
Yes
No
Would you rate your computer skills as:
*
Fair
Good
Excellent
Please explain
*
MQ Have you had experience using word processing programs?
*
Yes
No
Would you rate your word processing skills as:
*
Fair
Good
Excellent
Please explain
*
MQ Have you had experience alphabetizing materials and/or documents?
*
Yes
No
MQ Have you had experience using the Internet, email, and office equipment?
*
Yes
No
Would you rate your skills in these areas as:
*
Fair
Good
Excellent
Please explain
*
MQ Have you had experience in customer service including answering phone calls and face-to-face interactions?
Yes
No
Would you rate your skills in these areas as:
*
Fair
Good
Excellent
Please explain
*
MQ Have you had experience in calculating charges/fees and making change?
Yes
No
Would you rate your skills in these areas as:
*
Fair
Good
Excellent
Please explain
*
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Do you visit the library:
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Every week
Every month
Several times a year
Other
What are your reading interests, special skills, talents, etc.?
Name at least 3 books or 3 magazines you have read in the past year.
Do you have any personal obligations which may interfere with your ability to perform the job?
*
What do you believe to be your personal strengths and how will they relate to this position?
*
What do you believe to be your personal weaknesses and how might they affect your performance?
*
By signing or clicking "submit", I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in my discharge. I understand, also, that I am required to abide by all rules and regulations/policies and procedures of the library system.
Signature
Date Submitted
*
-
Month
-
Day
Year
Date
Submit
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